7 cpc certified professional coder jobs found in Cape Girardeau, MO

Location: St. Louis, MO 63110 Scheduled Hours: 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Primary Duties & Responsibilities Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims. Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals. Researches payer policies and processes. Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment. Works with coders and IBC staff with medical terminology and policy interpretation...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

Job Title Functions of Position: 1. Assign ICD 9 CM Codes for diagnosis 2. Code the following work lists: Radiology Cardiology Respiratory/Sleep Labs Physical Therapy Infusion Center Recurring Labs Outpatient OB/GYN NST's All Un-coded Outpatient records Laboratory All Un-coded Records 3. Code Using CPT codes for Procedures in Orthopedics and Non-Stress Tests in OB/GYN 4. Review charts in the EBEW Lists to Determine the Reason for the Error and Correct the Error 5. Review patient charts regarding Medical Necessity forwarded from Patient Accounts and Document Correct Codes 6. Contact Physicians regarding missing Orders or Diagnoses 7. Contact the Physician's Offices to Request Additional Information regarding a Medical Necessity Error 8. Assist in Training New Personnel in Coding 9. Assist in the Training of the Remote Coders 10. Participate in Educational Programs and In-services 11. Retain Active Status with AAPC 12. Attend Meetings as...

Shawnee Health Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. Completes coding and posting for all hospital related visits and surgeries. Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements High School Diploma Certified Professional...

Shawnee Health - Certified Professional Coder Join Southern Illinois' leading healthcare organization, with over 360 team members who believe that in taking care of each other and our patients and clients, we create new opportunities for success and bring big dreams to life. Shawnee Health is seeking a Certified Professional Coder for our Shawnee Health Remote Billing office. This position reports directly to the Assistant Revenue Cycle Manager. Responsibilities • Completes coding and posting of charges for all provider specialties and payer types utilizing the patient encounter information as directed by physicians and medical records notes. • Completes coding and posting for all hospital related visits and surgeries. • Have a comprehensive understanding of coding rules and regulations by CMS, AMA, ADA and Medicaid. • Conducts coding audits and reports feedback back to clinicians for educational and compliance purposes. Requirements • High School Diploma • Certified...

Job Summary: The Medical Coder is responsible for accurate coding, abstraction, and auditing of patient encounters to support compliant reimbursement, reporting, and regulatory requirements. This role reviews medical records to ensure documentation integrity, identifies diagnostic and procedural information, and validates that services rendered are fully supported by clinical documentation. The Medical Coder serves as a subject matter expert and consultant to providers and coding staff, identifies discrepancies and opportunities for improvement, and supports ongoing education, quality initiatives, and special projects. Essential Duties/Responsibilites include but are not limited to: • Diagnosis coding for all services, inpatient and outpatient • Procedural coding for outpatient and inpatient services • Auditing of charges for outpatient services • Assists in documentation audits as needed • Abstracting • Maintains current coding competence regarding ICD-10-CM,...